NPI | 1508261652 |
---|---|
Entity Type | Organization |
Authorized Contact | RENE B ALLEN Owner/Member 805-965-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA A81775) |
Additional Taxonomies | 261QA0006X Clinic/Center, Ambulatory Fertility Facility (Licence: CA A81775) |
Enumeration Date | 2014-10-31 |
Last Update Date | 2015-05-05 |